Dapansutrile in Diabetes and Diabetes-Related Complications - Dapan-Dia

Last updated: August 13, 2024
Sponsor: University Hospital, Basel, Switzerland
Overall Status: Active - Recruiting

Phase

2

Condition

Diabetes Prevention

Diabetes Mellitus, Type 2

Diabetes And Hypertension

Treatment

Dapansutrile

Placebo

Clinical Study ID

NCT06047262
2023-01387; kt23Donath
  • Ages 18-75
  • All Genders

Study Summary

The aim of the study is to determine whether NLRP3 inhibition with dapansutrile represents a new pharmacological option for diabetes management with potential as an anti-inflammatory agent to also address micro- and macro-vascular risk and complications from diabetes.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Diagnosis of type 2, Diabetes mellitus as defined by the criteria of the AmericanDiabetes Association (ADA) Expert Committee on the Diagnosis and Classification ofDiabetes Mellitus (see Appendix 1) and recognized by the World Health Organization (WHO, 2019), for at least 3 months prior to the Baseline Visit/Day 1

  • HbA1c value of ≥ 7.7% to ≤ 11.0% at the Screening Visit.

  • High-sensitivity C-reactive protein (hsCRP) ≥ 1.5 mg/L at the Screening Visit.

  • Body mass index (BMI) ≥18 to ≤ 40 kg/m2 at the Screening Visit

  • Acceptable overall medical condition to safely participate in the study and completeall study procedures (particularly with regard to cardiovascular, renal, and hepaticconditions), in the opinion of the Investigator

Exclusion

Exclusion Criteria:

  • Diagnosis of type 1 diabetes mellitus

  • HbA1c value of ≤ 7.5% or ≥ 10.5% at the Baseline Visit/Day 1, as determined at pointof care (local laboratory)

  • Use of thiazolidinediones (glitazones), pramlintide, or short-acting insulin/insulinanalogues (as bolus or premixed insulin) within 12 weeks prior to the ScreeningVisit

  • Less than 80% compliance in taking investigational medicinal product by pill countduring the Run-In Period, as assessed at the Baseline Visit/Day 1

  • Significant weight loss (> 5 kg) in the 12 weeks prior to the Screening Visit

  • Systolic blood pressure (BP) ≥ 160 mmHg, diastolic BP ≥ 100 mmHg, or resting heartrate (HR) ≥ 100 beats/minute at the Screening Visit

  • Previous myocardial infarction, any cardiac surgery

Study Design

Total Participants: 300
Treatment Group(s): 2
Primary Treatment: Dapansutrile
Phase: 2
Study Start date:
July 09, 2024
Estimated Completion Date:
July 31, 2026

Study Description

To date, no other oral NLRP3 inhibitor has sufficiently advanced in development to be tested in a chronic low-grade inflammatory disease such as type 2 diabetes mellitus over a period of 3 to 4 months as proposed in this trial. Based on the publicly available information, dapansutrile is the most advanced oral NLRP3 inhibitor in development. The rationale is built upon dapansutrile's clinical and extensive preclinical and safety findings, and from data in chronic animal toxicology studies to date, which together enable and support its investigation in select chronic low-grade inflammatory diseases. Therefore, the investigators have selected type 2 diabetes mellitus and its complications, including risk for cardiovascular disease, as a disease with clinical features of low-grade inflammation to further investigate the therapeutic potential of NLRP3 inhibition with dapansutrile.

Connect with a study center

  • University Hospital Basel

    Basel, 4031
    Switzerland

    Active - Recruiting

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